Insulators Local #84 Health Care Plan
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• Your Personal Information

• Summary Plan Description
  • Booklet
  • Changes to Booklet
  • Annual Notices
  • Privacy Policy

• Forms: (All forms must be returned via mail.)
  • Beneficiary Election Form/Change of Address Form
  • Disability Claim Form
  • Cobra Application
  • Medical Reimbursement Form
  • Request for payment of hospitilization premuims

• Related Links:
  • www.supermednetwork.com
  • www.caremark.com

All Forms are in PDF Format. Download the FREE Adobe Acrobat Reader Here.